Individual provider · Type 1 NPI
Cynthia Lynn Hollis-Keene, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Walnut Grove, MO
NPI number
1396067906
Active
Practice location
10520 W Farm Road 60
Walnut Grove, MO 65770-2825
Fax (417) 886-2774
Other practice locations
- 1540 E Evergreen St, Springfield, MO 65803-4300 · (417) 823-2900
- 1300 E Bradford Pkwy, Springfield, MO 65804-4264 · (417) 761-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 154542 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2015003170 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1396067906
Cynthia Lynn Hollis-Keene, PMHNP's National Provider Identifier is 1396067906, issued on Feb 23, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Walnut Grove, MO. The record was last updated on Oct 10, 2024.